Proxy decision making for incompetent patients. An ethical and empirical analysis.

Proxy decision making for incompetent patients. An ethical and empirical analysis.
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为无能力的患者代理决策。

DOI:
10.1001/jama.1992.03480150073040
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发表时间:
1992
期刊:
JAMA
影响因子:
--
通讯作者:
Linda L. Emanuel
Linda L. Emanuel
中科院分区:
--
文献类型:
--
作者:
E. Emanuel;L. Emanuel;Linda L. Emanuel

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最近,代理或代理决策有关终止生命维持干预不称职的病人已被广泛认可和推广。在1990年的克鲁兹决定和病人自决法案之后,许多州专门为医疗保健制定了代理法规。事实上,即使是像纽约和马萨诸塞州这样的州,过去一直避免制定任何关于生前遗嘱和保护病人权利的立法,也很快采用了这一制度。医疗代理法与此同时,随着对代理决策的热情日益高涨,人们对代理人是否可以选择患者会选择的干预措施产生了伦理和经验上的怀疑。我们面对这些不同的趋势,正是因为越来越需要制定有关这一问题的政策。因此,重要的是要检查几个问题的代理决策:有多广泛的认可是代理决策?的理由是什么
RECENTLY, proxy or surrogate decision making regarding the termination of life-sustaining interventions for incompetent patients has been widely endorsed and promoted. After theCruzandecision and the Patient Self-Determination Act of 1990, many states enacted proxy statutes specifically for health care. Indeed, even states such as New York and Massachusetts, which in the past had avoided enacting any legislation on living wills and securing the rights of patients, have quickly adopted See also pp 2082 and 2101. health care proxy laws. Simultaneously with this growing enthusiasm for proxy decision making have arisen ethical and empirical doubts about whether proxies can select interventions that the patient would have selected. These divergent trends confront us just as there is a growing need to develop policies on this issue. Consequently, it is important to examine several questions on proxy decision making: How widely endorsed is proxy decision making? What is the justification of
替代判断:替代预测的准确性如何?
DOI: 10.7326/0003-4819-115-2-92
发表时间: 1991
影响因子: 39.2
作者:
Seckler,AB;Meier,DE;Mulvihill,M;Paris,BE
通讯作者: Paris,BE
DOI: 10.1093/geronj/43.5.m115
发表时间: 1988
期刊: Journal of gerontology
影响因子: --
作者:
Uhlmann,RF;Pearlman,RA;Cain,KC
通讯作者: Cain,KC